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Home My WebLink AboutTR-9070 Michael J. Domino,President ��0f S0UTy0 Town Hall Annex John M. Bredemeyer III,Vice-President �� l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas KrupskiG Q � O Telephone(631) 765-1892 Greg WilliamsyCOU O Fax(631) 765-6641 � NT`{,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed —AL Project complete, compliance inspection. INSPECTED BY: COMMENTS: r ate- �'C® TU CERTIFICATE OF COMPLIANCE: Michael J.Domino,President O��4F SOUj�ol Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold, New York 11971 A. Nicholas Krupski �O� Telephone(631) 765-1892 Greg Williams COU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1483C Date: June 27, 2018 THIS CERTIFIES that replacement of 388 linear feet of existing;bulkhead in-place with new using vinyl sheathing-, and to raise the height of the new bulkhead an additional 12"above existing top grade; with the condition that both the new eastern and the western inlet bulkheads be raised by 12"; and that rip rap is installed along the westerly bulkhead; At 715 Harbor Lights Drive&595 Schooner Drive, Southold Suffolk County Tax Map#1000-71-2-1.2& 1.3 Conforms to the application for a Trustees Permit heretofore filed in this office Dated May 26,2017 pursuant to which Trustees Wetland Permit#9070 Dated August 16,2017,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the replacement of 388 linear feet of existing bulkhead in-place with new using vinyl sheathing; and to raise the height of the new bulkhead an additional 12"above existing top grade;with the condition that both the new easterly and the westerly inlet bulkheads be raised by 12"• and that rip rap is installed along the westerly bulkhead. The certificate is issued to Harbor Lights Property Owners Association c/o Kenneth Peterson owner of the aforesaid property. Authorized Signature *ZF SOTown Hall Annex Michael J. Domino, President John M.Bredemeyer III,Vice-President 54375 Route 25 l�4 P.O.Box 1179 Charles J.Sanders Southold, New York 11971 Glenn Goldsmith 0� ® COQ Telephone(631) 765-1892 A. Nicholas Krupski y'rouf Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction Y2 constructed Project complete, compliance inspection TERMS AND CONDITIONS The Permittee Harbor Lights_ Property Owners Association 715 Harbor Lights Drive, Southold, New York, as part of the consideration for the issuance of the Pen-nit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit,and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties, and the said Pennittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely,or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required,upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Pennittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Michael J.Domino, President ��rf SOV lj{o Town Hall Annex John M.Bredemeyer III,Vice-President h0 7�Q 54375 Route 25 P.O.Box 11 Charles J.Sanders J�iB Southold,New York 11971 Glenn Goldsmith G ® ® Telephone(631) 765-1892 A.Nicholas KrupskiO Fax(631) 765-6641 ��oUNT(,Nct� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 16, 2017 Kenneth Peterson Harbor Lights Property Owners Association 615 Harbor Lights Drive Southold, NY 11971 RE: HARBOR LIGHTS PROPERTY OWNERS ASSOCIATION 715 HARBOR LIGHTS DRIVE & 595 SCHOONER DRIVE, SOUTHOLD SCTM# 1000-71-2-1.2 & 1.3 Dear Mr. Peterson: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 16, 2017 regarding the above matter: WHEREAS, HARBOR LIGHTS PROPERTY OWNERS ASSOCIATION c/o KENNETH PETERSON applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated May 26, 2017, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, in accordance with Chapter 268, said application was found to be Exempt from the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on July 19, 2017 and August 16, 2017, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 C. WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of HARBOR LIGHTS PROPERTY OWNERS ASSOCIATION c/o KENNETH PETERSON to replace 388 linear feet of existing bulkhead in-place with new using vinyl sheathing; and to raise the height of the new bulkhead an additional 12" above existing top grade; with the condition that both the new easterly and the westerly inlet bulkheads be raised by 12"; and that rip rap is installed along the westerly bulkhead; and as depicted on the revised site plan prepared by Crowley Marine Contracting, received on September 15, 2017, and stamped approved on September 18, 2017. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly,yo rs, Michael J. Domino President, Board of Trustees MJD/dd ®F S®(// Michael J. Domino, President � yQl Town Hall Annex John M. Bredemeyer III,Vice-President O 54375 Route 25 Charles.T.Sanders P.O.Box 1179 CA ,c Southold,New York 11971 Glenn Goldsmith ® Q '® Telephone(631) 765-1892 A. Nicholas Krupski CQUNTY, Fax(631) 765-6641 BOARD OF TOWN TRUSTEES ®� a TOWN OF SOUTHOLD TO: foie (- &#r5 A&W, c/o �� Please be advised that your application dated 2&12-01-7 has been reviewed by this Board at the regular meeting of !� c and your application hasbeenapproved pending the completion of the following items checked off below. V Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee($50.00) 1 sc Day of Construction ($50.00) 'Y Constructed ($50.00) Final Inspection Fee p ($50.00) Dock Fees ($3.00 per sq. ft.) 30-Year Maintenance Agreement(complete original form enclosed and submit to Board of Trustees Office) The Permittee is required to provide evidence that the non-turf buffer condition of the - Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: q 1-c.119 0 TOTAL FEES DUE: $ 5,0'OD BY: _ Michael J. Domino, President Board of Trustees D ECEIVEE f � a;F c ►a5Eu{lent ( Ls To - SEP 1 5 2011 Nala e94 ►'�nsrwk st�ro" � Southold Town wo Mae {,r>�> lV �ido(R 13�tt1 AS !L 40&S 4' NOW: I}u oft of bw4wm w � Wd -o bff ki►W0 ar t{ 4WPOW 1*4 ARS t2 a�► _ '!�b SHW Nod: ii fw—* dtt -W M F+lbl & !' a NDS &AFiUtt �1 � &Memw*t gAs�tEttu VE maby nil goo LID VJE,4z a x N�o� At ly V/ gOA OI 1;USTEES ►►� To F SOUTHOLD � Figm eLarq ®ATE SII 18,��7 AN air u r i A6 via oftim.Adwaymm. ca:chow hRw mace c�Ips A N svL& f-'. (UtNtl v f 1'(IES logo ama Pat. (o'.ma I)IM (-'Om Ow how N xf all X x LOY 0 0 �'lWV � . 8d�vrt c7gry 00 arstr, n °O° e o F4)� dao a 0 0 0 o Mjb" WAS o° C) D0 4 Ir d Y,NyL s� ° oa s o ° D c0 a ° d e�' u s v o bC) 0 0° a W� mag R tf lA�c SEP 1 5 2017 Southold Town CR�w AkiNk our r ioaM 61 Ifustogs r 1-14/2800 L IGYI-I T,5 --- -v 0 WIVEZ5- ---- -ee.ok�E AT BAYVIeW 44 - �;� � C•�rii � ,. "i� �I'"r'_�` _�"'.D�1'!'1�� Y _ - - - y ►l - - -yes; '�o� - - - \ - cr - _: �. -:. 5 � �- . • _ , •>_ � ,-,. zs�-;� '". .. - �. '` "`� �7!�d � -MAY 2 6 -20117 " ypes V � �, - ,, ` ``4f�,f .�: ... - - -` _ .. - _ a - - s - ` - � - - � �+'•C /gyp - 7/1/1/�1 rr (-5vffolk Co_ Ata# No. 4681IJ _ _ h }{, 2 • 1 UNAUTHORIZED ALTESATION; • _ } --- i\I THIS SURVEY K A V! T; r, \ _ }" 43 4"7 45 46 .47 '��` � N SE i L f�k"' ` y� �i SECTION 7iG9 OF Til NEW E\ti 7, le EDUCATION LAW. 1 C• ;� —�--^ -- --�• -�-- -.-- f -+-•••----3----•--.--7--..-..'- � COPIES OF iF!IS SJ7V;!7l,AP aI •T �I ,` N.64`OS'}O"tN. X40.0 ^ THE EA;.v S::,V, N .4 .0 '5o�_ E.: [ c, 1-4 'r3 !� 2 / v � �5SDSIAL:? Ira - Q r' E,.� 5 nCA VA: 'F:A r•:r - l!e I ) r GWL�lKT2-c i ri Ti&A ♦ •F - v. t .. e..; _ tPM G L•ST,i Uil:.,i L;c7_ r AQ TPIE ASSsGNHS 0;T, � r {� RW.iilOr7-GUA N.df ",0 ;w �1 TQ ADDITIONAL 11451irUi!_:,5 5IFC SGT 1 ON SINE' . Co. Map No, 4362 } Q `i1 \ IL ' 6uamm and fo 7Are To a Guarn7rfee GD_ t as $Vrlveyed July ZZ, %975 � � �: Vit; ! o � i2. ✓-.�-_--- -�--=`� � a } iii Z Licansad Land Surveyor Jnr r•art� b Q ;t f / -J4t??Et7tT80 JUNE 14,2011 ------_ Michael J.Domino,Preside ®S�FFOj/r�, Town Hall Annex ®G John M.Bredemeyer III,Vice-Presia_ent �� y,,, 54375 Route 25 Charles J. Sanders P.O.Box 1179 ca Glenn Goldsmith 0 Southold,NY 11971 A.Nicholas Krupski p! Telephone(631)765-1892 jig Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD ��,, Date/Time: �, l�`,sS' Completed infield by: Ci ��,6�'cP.� c) � � I,�1 e 1 HARBOR LIGHTS PROPERTY OWNERS ASSOCIATION, c/o KENNETH PETERSON requests a Wetland Permit to replace 388 linear feet of existing bulkhead in-place with new using vinyl sheathing; and to raise-the height of-the-new bulkhead an additional 12" above existing top grade. Located: 715 Harbor Lights Drive, Southold-& 595 Schooner Drive, Southold. SCTM# 1000-71-2-1.2 & 1.3 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement-of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Baring Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by:' C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: Present were: �j- Bredemeyer Domino Goldsmith 1 �. Krupski Sanders Other Page 1 of 2 Michael J. Domino PresidO�FFQj��` �0 CD _ � Town Hall Annex John M. Bredemeyer III,Vice-President �� Gyj, 54375 Route 25 Charles J. Sanders03z P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski y p! Telephone(631)765-1892 HCl �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: HARBOR LIGHTS PROPERTY OWNERS ASSOCIATION, c/o KENNETH PETERSON requests a Wetland Permit to replace 388 linear feet of existing bulkhead in-place with new using vinyl sheathing; and to raise the height of the new bulkhead an additional 12" above existing top grade. Located: 715 Harbor Lights Drive, Southold & 595 Schooner Drive, Southold. SCTM# 1000-71-2-1.2 & 1.3 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. :525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 Harbor Lights Property Owners Association c/o Kenneth Peterson 715 Harbor Lights Drive,Southold SCTM#: 1000-71-2-1.2&1.3 8/8/17 ref AW Am• . ,,mm e, u ,a; .'�� ,,.FF '-l1ti J{�t-+..'�.F-s„�l•.r:=,j�T;. ''� %'"'a 4,. ''��, - - .:��- ,xrrPP -yt,-• 4- 3.. �� a�1.'__'. �� '4 �'.�' •eyt.ea Vis'ffi`-' ,�',_�,'a►'w� •zYL�'r �%� .!' ,y _��•YLT.,,.1,,'►.K^ y ,;`..$ �.a y r�,a�z.t *�� Y 2''f. +��a_�'�'E.- �"Y Yx 2 i. .,yam•5 �'c` _ r r�^ �s v 1tC." ,`. f'..►'J.p. � moo--. t �„t,,�s�"r�7'".'�+r_i;,,+ ,`�yi�,y, �;�,"'4",!�_:. ',,'� a .'' -:e:�� ,sr+2n.�T'.'rr^+.yr—fit 1°►' �..�-'S,,c.� x4�.`" r.. J). r - - ^aE -� �•' AlG p"�J Moog , r _ � � /�- ✓ .� -. _ few .� / - - AT '„ �Y � 7c`.y�\ ..a .? .i i.�+F`�%{�.�.i`i�'��^'4��' A r~` w A 1 y w . ^•�-� r •'� ,fir. .�1�_. - `��/�". �. ., xr�:;.4,'- +" _ M arbor Lights Property Owners Association c/o Kenneth Peterson 15 Harbor Lights Drive,Southold SCTM#: 1000-71-2-1.2&1.3 8/8/17 RM Vrm- =- - dOr— �� -- r - — r - w -v ,,.�rdi`4 Y��Y..d•�i!�r,,',.''.,. Y'�'-�- y %� .,..�+►I , ' I 1 -�'f" ../ - r�'�""��t,t• . ,s1 ,�I�. 5F� 'j *�'� �� *+gym- � :<*��.. r �' P .1��_ �-' -ar. ray r r��. i w�{� M ,yr. -w �'.;� a 7 - �,�..lp. � {• �1+� �X-6, .�I -v im; `•� +� ?7= } Michael J. Domino, P, aero �: �agtlEFOjxCo,� Town Hall Annex John M. Bredemeyer III,Vice=President ��o G�,J, 54375 Route 25 Charles J. Sanders 00P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupskip' Telephone(631)765-1892 �9pa Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: IV'=NV 'WCompleted infield by: c�— ) ,gs id ��+ HARBOR LIGHTS PROPERTY OWNERS ASSOCIATION, c/o KENNETH PETERSON requests a Wetland Permit to replace 388 linear feet of existing bulkhead in-place with new using vinyl sheathing; and to raise the height of the new bulkhead an additional 12" above existing top grade. Located: 715 Harbor Lights Drive, Southold & 595 Schooner Drive, Southold. SCTM# 1000-71-2-1.2 & 1.3 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of aring Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: e Q Ci 1 Present were: J. B demeyer M. Domino ---G. Golds_ mith L,-<Krupski C. Sanders Other Page 1 of 2 StfFG1 Michael J. Domino,I, fei- �O CC __ Town Hall Annex John M. Bredemeyer III,Vic&President �� G22� 54375 Route 25 Charles J. Sanders N z P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski 41, �Ol�, Telephone(631)765-1892 ` 1 Fax(631)765-6641 '•zzzrccr'r.. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: HARBOR LIGHTS PROPERTY OWNERS ASSOCIATION, c/o KENNETH PETERSON requests a Wetland Permit to replace 388 linear feet of existing bulkhead in-place with new using vinyl sheathing; and to raise the height of the new bulkhead an additional 12" above existing top grade. Located: 715 Harbor Lights Drive, Southold & 595 Schooner Drive, Southold. SCTM# 1000-71-2-1.2 & 1.3 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. :525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 HARBOR LIGHTS CANAL ASSOCIATION n K" 2017 Google ray' F m r - A EAST AND WEST INLET BULKHEAD REPLACEMENT SOLJTHOLO 5Ay S01JTH04.0 pRCJeGT j5 A Y r+RoJE G7 LOCA71OIJ LOCATION . O ®_ J`� t 0 tJ , a /1/ VIGIMITY MAP LOGAT 101J M A P o I IL S 4000 �O O •aoo ADJACENT P120PERTY OWNERS= (D SUSAN MCGIURE EWING HARBOR LIGHTS ASSOCIATION 40 FOREST DR. C/O MATT CAMPBELL PO BOX 1327 HILLSDALE,N.J. 07642 SOUTHOLD,NY 11971 ® HARBOR LIGHTS ASSOCIATION - HARBOR LIGHTS ASSOCIATION C/O MATT CAMPBELL C/O MATT CAMPBELL PO BOX 1327 PO BOX 1327 SOUTHOLD,NY 11971 SOUTHOLD,NY 11971 ® MR ARNOLD FELTMAN PATRICK AND DIANE KELLY PO BOX 836 30 CATHEDRAL AVE. . SOUTHOLD,NY 11971 GARDEN CITY,N.Y. 11530 PROPOSED= OREPOING AKIff ►S OF EXISTING CANAL TO A DEPTH OF 4! OF—LOW MEAN LOW WATER ANP DEPO51 TING THE SPOILS (APPROX. 2,-+co GU vos. TOTAL) ON THE TWO DEACHBS ApJACS.Wr TO THE WLE-r APPROX {,404 G!J MCPS. TO 6E PLACED ON THE EAST BEACH ANP APPRO)4 1,000 G!1 YDS. ON THF WEST BEACH TO A MAyt.HEIGHT OF E.`A130vE GRADE_ ACCESS: 6Y WATEit, UJlI•t6 13u4R6E W17N CLAM SHELL ibUCKF-T. . ,r A!'PLI CAN'S's 14AR60it L14SHT5 CANAL ASSOCIATION vim• Q EG E Q V E PREPARED by COSTEL.LO MAKINE CON'I•RACTlNG CORP I'.'O-box 2124 .GREEN PORT, NY 119+4- MAY 2 6 2017 (coal) 477-f 199 Sauthoid Toarn H ET I OF 4 ' Boar f 7r styes • l hTF New York State Department of Environmental Conservation Division of Environmental Permits, Region One AM SUNY @ Stony Brook, 50 Circle Road, Stony Brook, NY 11790-3409 . Phone: (631)444-0357 Fax: (631)444-0360 Website: www.dec.ny.4ov Joe Martens Commissioner March 27, 2013 Harbor.Lights Canal Association 615 Harbor Lights Drive Southold, NY 11971 _ Re: Permit No.: 1-4738-00071/00008 Dear Permittee: In conformance-with the requirements of the State Uniform Procedures Act ` (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621)we are enclosing your permit. Please carefully read all permit conditions and special permit conditions contained in the permit to ensure compliance during the term of the permit. If you are unabfe`to comply with any conditions please contact u\at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. Si cerely Susan V. Ackerman Permit Administrator SVA/Is JDECE � VE M AY 2 6 2011 Sc5,h i6rVfl Boar LL Lir LS l MON J NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVA7'> ?N Facility DEC ID 1-4738-00071 PERMIT Under the Environmental Conservation Law CL Permittee and Facility Information Permit Issued To: . acilty: a.�� r HARBOR LIGHTS CANALrAS1`OCIATION HARBOR LIGHTS``CANAL ASS. -HB LIGHTS COVE 615 HARBOR LIGHTS DR HARBOR LIGHTS DRIS&A,#1000-71-01-1.2 &1.3 SOUTHOLD,.NY 11971 SOUTHOLD,NY 11971 Facility Atplication Contact: KENNETH PETERSON 615 HARBOR LIGHTS DR SOUT14OLD,NY 119-71 j Facility Location: in SOUTHOLD in SUFFOLK COUNTY Village: Southold Facility Principal Reference Point: NYTM-E: 717.1 NYTM-N: 4547.4 'ta, Latitude: 411`02'56.0' Longitude:- 72°25'00`.5" 'F:"`;' :i x'c•.-._. :.;�} � � v v' .4. v s^ �.�'`.�::�"._.r,� .�r'w'%-. •,f!zttz.`z" �•-.z�,s�i3d,.?�.;:.'•,n. �,t;:'' Project Location: Harbor Lights Drive Authorized Acti�,y�ty : a—M,a iiance�dredg an-irregularly shaped area with the existing canal tq.f6urMeet deep at appar nt low water. Place spoil k they adjacent beaches. Repair ancWr replaWthe bulkheads Inct4 shoreline plantings. All authorized activities must be in strict conformance with the attached k plans prepared by Costello Marine Contracting Corp. 0ii&ded�-June,26 2012(sheets 1-5 &4A) and' stariped NYSDEC approved on 3/27/2013. -t Permit Authorizations : x N..,4;i.r*:,•N^x:_.+.=r ir,<si:..S.tt'c�T;:Lf7'�':�^>;Y-::'rrr.:2::r.z.:c;%.•i?.:".�..7`.'c'c.?"�^7:,.:.=.^�i�Pt.;..-".'a'ri:S.:�s.R3Y:'".:":a',a^rv:i�'..:t:Y{:_a.�,^A-...;.«Ch,r,,-','•'':„'a�.f.2.^ti,'�i"✓:,s1",x„n•�?''.'•',E�` Tidal Wetlands,.-;lender AiceR25 Permit ID ��,�4738-00071/00008 <` New Pettit Effective Date: 3/27/2013 Expiration Date: 3/2612023 Excavation &�Ttill in Navigable Waters -Under Article.15,Title 5 Permit ID 1-4738``00071/00009, New Permit "'` Effective-Date: 3/27/2013 Expiration Date:3/26/2023 Water Quality Certification-Under Section 401 - Clean Water Act Permit ID 14738-00071/00U6,e _ New Permit E&6tive.Date: 3/27/2013 xpiration Date: 3/26/2023 EIV _ MAY 262017 Pagel of 7 Southold Town Boa f Tru ' r NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVAI—A Facility DEC ID 1-4738-00071 _ NYSDEC Approval By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, and all conditions included as part of this permit. ,:.ez' ;. Permit Administrator: SUSAN AC"I ,R TAN,Deputy Regional°'P`ertnit:Administrator Address: NYSDE0REGION 1 HEADQUARTERS ` UNY @STONY BROOK150 CIRCLE RD a y 'STONY B OK, 11790 -3409 d 111 Authorized Si #ature: - Date /71), /7-012) nj; r Distribution List KENNETH PETERSON, - z I-fabif 6t-TW SUSAN ACKERMAN 2 1.,"r'.�;�ss'1�"`�r'��s�.r'Z��C a's'i1i,<323'.:..w°�fkias'�"#,',.'��b.L;..",- n..., c. rys;- r t s 'C+.�c' �#'.- w"�!s:'`c•m`a.4: %Y.1'<",%;.::•'gi.:::�`t m'-;'r.:;.:':.,sYw='^,i�St>a ' G�e�1«af` � � 4T a=2:iSc'.�.'t�' "°�:L 4 e'fY-#;"� sP'_': s',•'.i,,;�:" ..�,.. "�Permit��ornponents „ NATURAL;RESOURCE PERMIT CONDITIONS rr WATER QUALITY CERTIFICATION SPECIFIC CONI�TI` Ol GENERA_ L CONDITIONS, APPLY TO ALL AUTHORIZED_ PERMITS ' NOTIEICATION OF OTHER PERMITTEE OBLIGATIONS �',,raf..c•�g9.�`:wnti, .'�R .,-4`e4"'-..•sY:4:?:��°:.rr�:',cs'.%;:;r1,rk,".'.,:`�:;'a'S.;y?kp':.li?2s,s".'rs+F.c°.t';i.•..Y?:"-_`5.��"x.'.is9%�:Yr+"'..:;;,�.Y.,:.fa:i_.;f`i�c�`::'a'�:, ",ti,�5"�Y'�..3�"?'ih9'.'.:.=r�3� NATURAL!RESOURCE-PERNBT�CONDITIONS,--=�App'ly1othe'"Following -Permits:-TIDAL WETLANDS; EXCAVATION & FILL IN NAVIGABLE WATERS• WATER QUALITY CERTIFICATION L No Interference'With Navigation There shall be no unreasonable interference, th navigation by the work herein authorized 2. Conformance With"Plans %I-=tivities authorized by this permits m 'st be in strict conformance , with the approved plans submitted by the applicantorz applicant's agent as part of the permit application. -Such approved plans were prepared by Costello Marine Contracting Corp.'amended June 26,2012 (sheets 1-5 &4A). V LE MAY 262011 Page 2 of 7 Southold Town and of Trust-?e Aft NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CON_SERVA'_ _N Facility DEC ID 1-4738-00071 3. State Not Liable for Damage The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. 4. State May Order Removal or Alteration of Work, If future operations by the State of New-York require an alteration in the position of the structure or work herein authorized, or if,in the opinion of the Department of Environmental Conserva�tiori itshall cause unreasonable obstruction to the free navigation of said waters or flood flows orfendanger the'health, safety or welfare of the,people of the State, or cause loss or destruction of the;nd al`resources of the State, the owner maybe ordered by the Department to remove-or alter the structural work, obstructions, or hazards caused thereby witho"Ut-,expense to the State, and if,upon the expiration or revocation of this permit,the structure, fill, excavation,`orAother modification ofthe watercourse hereby authorized shall not be completed,the owners, shall,without= expense to the hState, and to such extent and in such time and manner as the Department of t Environmedial Conservation may,require,remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of-the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration., , 5. State May Require Site Restoration If upon the expiration or revocation of this permit,the project hereV authorized has not been completed,the applicant shall,without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may lawfullyl require,remove all or any portion of the uncompleted structure or filr and restore the site to its former �. .., P=d� st:•}:'t'. :�' �2T =!;s..'.r'xt '"S't.`..srx'3• '¢�*� �� a a s-^.Y S. eA:,_,.,,u..ty: ... �rd: s{.,:w�:t,:•ir= Yi_n..�w,,r's,,,,,. and iimsb� condition. o claim sli fie made againsfi fide S a es of 1�Few York orf acco unt of an�such rerno rai dr alteration. :,,-,;, �;•5=°�. r_ �:y� -fi 6. Prpt"tions Against Contamination ofWaters All necessary precautions shalfb taken to pre�fude contamination of any wetland or waterwayliy',�'suspended�solidus, sedim nts, fuels, solvents, lubricants, epoxy coatings,paints, concrete, leachate or any other environmentally deleterious materi is associated with the project. ; 7., Prohibition Period for Nesting Birds To protect nesting shorebirds,including threatenedand('or endangered species,no regulated activities may occur between April 1 and August 31,inclusive, of any calendar year:'<. .,,.x. : ,_•f.., a ,r -! y.�:, e is&;s: M^;w:.F •.n ••*y4:' °^�,;y.�c'a=`+• ;�_Ak.i'~w�-':4: Y'":` `�a.^`t;;'�a:.•3'e';s'r.,=;y�.`; - ,`."''ij`rw..,a `v+„.e'> N-' c �L rxc.,,L''�a',:✓ - .., _`- ::C'F t.:, �ci=•. >.. �pry -��T n ',.i `,3_F? �, •""^,Y r.•. � y,z,a;,,.,.6 , 8. Post Permit Sign The permit sign enclosed with this permit shall �Osted in a conspicuousD1D location on the worksite and adequately protected from the weather. I - _ MAY 2 6 2,017 9. Notice of Commencement At least 48 hours prior to commenc ent of the projectthe p itte and contractor shall sigq and return.the top portion of the enclosed n fica 1 n rin�at t ey are fully aware of and understand'all terms and conditions of this pe f let on of project, the bottom portion of-the form must also be signed and returned,;`al'ong with photographs of the completed work. i 10. No Construction Debris in Wetland or Adjacent Area Any debris or excess material from construction of this project shall be completely removed from the adjacent area(upland)'and removed to an approved upland area for disposal. I o debris is permitted in wetlands and/or protected buffer areas. 11. No Disturbance to Vegetated Tidal Wetlands There shall be no disturbance to'vegetated tidal wetlands or protected buffer areas as alresult of the permitted activities. . - Page 3 of 7 M/ NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL•CONSERVAI*_1 Facility DEC ID 1-4738-00071 12. Storage of Equipment,Materials The storage of construction equipment and materials shall be confined within the project work area and/or upland areas greater than.75 linear feet from the tidal wetland boundary. 13. Bulkhead Height The new bulkhead height shall not exceed the height of the adjacent bulkheads. 14. No Seaward Extension ofBulkhead, The new bulkhead shall be constructed in place of the existing bulkhead with no seaward extension.A6ftlie"b�iiterriiostlb,,q ead face. 15. Jet-inBulkhead Bulkheads constructed directly adjacent to vegetat6& al wetlands shall be hand driven or jetted in with;nb- disturbance to the tidal wetland. Trenching is strictly ptohibited.; 16.'No Structures on Bulkhead No permanent structures shall be installed on.fhe auNrized bulkhead- without ulkheadwithout first obtaining written department approval (permit,modification, amendment). - `` k14 17. Excavtion for Bulkhead/Structure Prior to any construction or removal of bulkheads and other shoreline tabilization "structures all backfill shall be excavated landward of the structure and retained so' { as not t 'enter the waterway,tidal wetland or protected buffer area. , r, 18. N`o Runoff Over or Through Bulkhead or into Wetland There shall be ho-discharge of run"..or other effluent over or through any bulkhead or shoreline stabilization-structure or into any tidal wetland or p tected buffer area. i o-• ^ux•a� ..-..,,•m., 4,,�; _ r, uZx""�," �, x>.ry T, -^'• / � �. r.�.y-r >¢'••".s�: '?4dz`..Y�'�{ka..r .�, ,�saa5^�&" r-<tS_-',a�`v�... s:Y:;, a+, 19. `Restrict Spillage,Use Closed Bucket bunng the dredging operation,the permittee and his contractor shall „ reff' t°geo£sediment during excavation and' d'haula e. Dredging shall b. rdosed bucket equipment.accom lisheWith a clam shll or 6th „ A x ° 2CDredging Prohibition'-Period Dredging is specifically prohibited fro ii line 1 through September :: ....- '30 each,year to protect spawning shellfish and/or spawning•finfish:' 21. Filter Fabric.Curtain Around Dredging Area A filter fabric (turbidity) curtain weighted actor s the bottom and suspended at the top by floats shall be positioned to�nclose-the work site before pfi commencing dredging. The curtain shall remain in place and in functional condition,-during all pk ses of . , �. s+.. . :_.�::.°ia't�x;ry:w ..,s':r.;'<ct tr�¢i.: ,.dY.�`•r�J."si-�.u"�.�i c+ -.Y„'�'.h,xy�:•.:.fr:Fz��za'Sff.3:,;i "",�:,•"'E.:.'+'3."S;is':s'�+- , the dred'gmg operations and remain m place for two hours after dre ging termination"and turty inside the curtain rioNi`oii'ger exceeds ainbieftlevel"s: `"`- "="� %"`Sj' �a yr 9`l i t¢2 s+ :3:v § s? �>r: .i 22. Dredge&Materials above AHW All material shall be placed landward of apparent high water. 23.-Notice of Maintenance Dredging For maintenance dredging projects,the permittee shall submit a Notice of Commencement prior to each dredging occurrence, specifying the disposal site(including an updated site plan). l Jpori completion, a Notice of Completion shall be submitted°`to the address indicated on that notice form, including'the,amount of material dredged'and deposited``at the approved disposal site. .^ ,/' MAY 262011 Southold Town ' Tr e Page 4 of 7 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONS9RVA"' 2N Facility DEC ID 1-4738-00071 24. Dredged Materials on the Beach All material deposited on the,beach shall be of compatible (equal to or larger) grain size to the naturally occurring beach. If at any time during the dredging operation•the composition of the dredged material changes and becomes unsuitable for beach placement, dredging operations shall cease immediately and the office of Regional Habitat-TW shall be contacted with a proposed plan to correct the problem and/or for alternative placement. No'further activity will commence without the department's approval.\ WATER QUALI. Y—CERTIFICATION SPECT 'IC, CONDITIONS 1. Water Quality QerHfication The NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or stapdards under Sections 301,3r02, 303, 306 and 307 of the Clean Water Act of 1977 (PL 95-217)provi&4,that all of the conditions lifed herein are met. - . GENERAL CONDITIONS - Apply to ALL Authorized'Permits:- - 1. Facility Inspection by The Department The permitted site or facility, including relevant records, is subi ct.,tofinspection at reasonable hour and intervals by an authorized rrpKes entativ k of the Department 1 of Environmental Conservation�e Department)to determine wliethei the permittee is comprylrig-with this permit and theE,GL Suc i4representative may order the work suspended pursuant to ECL.7;1--03 J '. and SAIAk401(3). The permittee shall provide a person to accompany the Vepartrnent,a ire,presi 'a 'during an.inspection to the permit area when requested by the Department. A copy of this'permit, including all referenced maps, drawings and special conditions,must be avai able for ins p ection b the Department at all times at the project site or facility. Failure to roduce'a co ^of P Y � p J _ tY• p pY the permiuporequesby a ono—f,this�prmit.� - .2. Relatio~fthis Permito` `ter$Dtepartii'ent O�frders=ancl�I?Teterrrnatons'`t7nle�s'eXpressly provided for by the Department,issuance of this,permit does not modify, supersede or rescind�any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such,,,order or determination. 3. Applications For Permit Renewals,Modifications or Transfers The permittee"must submit.a separate written applicati6fiAoy,the Department for permit renewal,modification or transfer of this permit. Such application must'iiclude any forms,or supplemental information the Department requires. An renewal modification or transfer arttedb< ;the...D q artment�must be in writing. Submission of, Y � gr � . " Y � g , applications for permit renewal,modification or transfer are to be submitted,to: Regional Permit Administrator ® f26 ; NYSDEC REGION 1 HEADQUARTERS 9 SUNY @ STONY BROOK150 CIRCLE RD M7STONY BROOK,NY11790 -3409age ouold To�yn • and vi Trusties ' \ \` AM MON NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVA N Facility DEC ID 1-4738-00071 , 4. Submission of Renewal Application The permittee must submit a renewal application at least 30 ,days before permit expiration for the following permit authorizations: Tidal Wetlands, Excavation& Fill in Navigable Waters,Water Quality Certification. 5. Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to exercise all available authority to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: a. materially false or inacc,;urate'statements in the permit applicatoiix or supporting papers; b. failure by the permittee to comply with any terms or conditions of the perriii c. exceedingythe scope of the project as described in the permit applications d. newly discovered material information or a material change in environmental conditions,relevant technotogy or'applicable law or regulations-since the.issuance of the existing permit; `gib e. s 1oncompliance with previously issued permit conditions, orders of the commissioner, any t, ,ti,?` rovisions of the Environmental Conservation Law or regulations of the Department related to -'the permitted activity. 6.1 Permit Transfer Permits are transferrable unless specifically prohibited by statute,regulation or t�� .rte' ;.. "-1'. -rr. �_ f _ '.y% a<'.z:F. G g7 anotlier'perinif condition.`App� catioii°s'for periniraiisfer slold``be sihmitteit prior to-actuartraiisfer of ownership. nn '44 NOTIFICATION OF OTHER��'ERNIITTEE OB- �'ATIONS Wpb - � ;��•.�< � ;.. a i MAT Z b 2017 ; Item A:-Permittee Accepts Legal Responsibility and Agrees to Inde ' kation �S t561(NC1An r ` The p hnittee, excepting state or federal agencies, expressly agrees to indemm _ Department of>rnorlmentaLCoriseation of the State of.New York its representatives employees, :.u:!-,. va ,...w.^-s<Jn u"' '..: 8>r ,:York ,5+; «., and agents ("DEC") for all claims, suits, actions, and damages;to the extent attributable to the permittee's actsor oiriissiorls iri connectio ivNvi"t� "th%�'e.%-£p`)teu*rt,.,t'�ee.i"s:auv�n%Zd^"ex�k^•a�n'yg}:"'orfxactitvf3.r" ik= o=>;=. ection with, or operation and maintenance of, the facil'ityor facilities authorized by the permit whet�lier in compliance or�hot in compliance with the terms and conditions of the permit. This indemnification does not extend to ankeomisslaims, suits, actions, or damages to the extent attributable to DEC'seo�wn negligent or intentional acts or ions, or to any claims, suits, or actions naming the DEC and;arising under Article 78 of the New Y-brk Civil Practice Laws and Rules or any citizen suit ors_ci>Vil rights provision under federal or state laws. :ter Item B: Permittee's Contractors to Comply with-Permit The permittee is responsible for•informing,its independent contractors, employees, agents and assigns of their responsibility to comply with this permit,including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation.Law-as those prescribed for the permittee. Page 6 of 7 A NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVA..:.JN Facility DEC ID 1-4738-00071 Item C: Permittee kespgnsible for Obtain*mgOther Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of- way that may be required to.carry out the activities that are authorized by this.permit. Item D: No Right to Trespass or Interfere with Riparian Rights This,permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest,in real or personal Oropert_y�held or vested in a person nota party to the permit. - a J r =�fh3 3 A 5'z•+"y , ' , %`b'•~�SH4L,fB . r> a V. 1 .;F&"`v ?s+.�i>i`=�';.."^��i:< .,•FX:n°�'r�CS;�`=ex�`l�:`,r;r=;�w��::3'�'"� vr�.'".-.,;�f:,`:�'=�'."P,.;nth,;�.ra?:�i=;7.ii��Ak3;tcC::.aa'1�:�='_"'':a•:s:�•::`:':�`^",�`:wi �`Y'�,�"v'` ::.s t:F'." 'r'��ir:ftS�t�� \ 010 r - r [RIDE C Ei E • - MAY 2 6 2017 " . .._ ,_ -._ ct,:r•"'�5'�t_ - �r ."•.'.5,'rr 1��:V.".'Ar.2' wJY Ysfi%♦_n.�v?:�a,=...;i'M "=i"';i`-. `.J�.":�....'1.`d:'s'is. ,:moi$.`..„.:-�:.\ .,=";`a”n::%�'%�.�s:yiS,,:3';Eixa:.'.��.,c:�r�k:".3<'..�'%r.;... - _"7«i'a'�&i�ri,.�s�,��QUI�QE�: yV�^'.^ s•s."c;.t:�r.^"_'-"';a�S.�.T'k,. ar f Trus e ` � - °- ..<. 'or„fir'i:,.C-�;kT"_—�'•V r ' Page 7 of 7 WTICE OF COMMENCEMENT OF CONSTRMION14W W AM RETURN THIS FORM TO:COMPLIANCE Or Fax to: 631-444-0297 Bureau of Habitat-TW Inima " 50 Circle Road _ Stony Brook, NY 11790-3409 PERMIT NUMBER: EXPIRATION DATE: PERMITTEE NAME&PROJECT ADDRESS: CONTRACTOR NAME&ADDRESS: TELEPHONE: Dear Sir: Pursuant to the special conditions of the referenced permit,you are hereby notified that the authorized activity shall commence on We certify that we have read the referenced permit and approved plans and fully understand the authorized project and all permit conditions.We have inspected the project site and can complete the project as described in the permit and as depicted on the approved plans. We can do so in full compliance with all plan notes and permit conditions.The permit,permit sign,and approved plans will be available at the site for inspection in accordance with General Condition No. 1. (Both signatures required) PERMITEE: DATE CONTRACTOR: DATE THIS NOTICE MUST BE SENT TO THE ABOVE ADDRESS AT LEAST TWO DAYS PRIOR TO COMMENCEMENT OF THE PROJECT AND/OR ANYASSOCIATED ACTIVITIES. FAILURE TO RETURN THIS NOTICE,POST THE PERMIT SIGN, OR HAVE THE PERMIT AND APPROVED PLANS AVAILABLE AT THE WORK SITE FOR THE DURATION OF THE PROJECT MAY SUBJECT THE PERMITTEE AND/OR CONTRACTOR TO APPLICABLE SANCTIONS AND PENALTIES FOR NON-COMPLIANCE WITH PERMIT CONDITIONS. Cut along this line x x x x �< - NOTICE OF COMPLETION OF CONSTRUCTION RETURN THIS FORM TO:COMPLIANCE Or Fax to: 631-444-0297 W Bureau of Habitat-T 50 Circle Road Iowa Stony Brook, NY 11790-3409 2 _ EFN PERMIT NUMBER: EXPIRATION DATE: � 6� PERMITTEE NAME&PROJECT ADDRESS: MAY 2 612017 t CONTRACTOR NAME&ADDRESS: n TELEPHONE: B a f Tr Sim Pursuant to special conditions of the referenced permit,you are hereby notified that the authorized activity Iwas completed on .We have fully complied with the terms and conditions of the permit and approved plans L(Both signatures required) PERMITEE: DATE CONTRACTOR: DATE THIS NOTICE, WITH PHOTOGRAPHS OF THE COMPLETED WORK AND/OR A COMPLETED SURVEY,AS APPROPRIATE, MUST BE SENT TO THE ABOVE ADDRESS WITHIN 30 DAYS OF COMPLETION OF THE PROJECT. 95.20.1(8187)-9d New York State Department of lnvironmental' Conservation 0 I C NOT �► . S. a N3 M �. P epartment of Environmental Conservation (DEC) has issued mit-(s) pursuant to the, Environmental Conservation Law for work - being conducted at this- s!'te.. For' further information. regarding the nature and . extent owork approved ,and any Departmental donditi.ons on it, contact the Regional Permit Administrator listed below. Please .refer to the ' permit number. shown when bontadting the DEC.. . Regional Permit Administrator Permit Number M131 -ROGVw g .Expiration Date : 312412023 NOTE: This notice is NOT a permit' SouTtOot� �,qY - S®UTH O L L? ��alecT 8 A--Y PROJECT LO�A'i'IOEJ LoGATION 10, • r VIGIIBJITY MAP r LOGATtOW `MAP 0 1 lz g 4000 APJAG6NT PROPERTY OwNefts, r © SUSAN MiGIURE EWING 1 ® HARBOR LIGHTS PROPERf TMNERS 40 FOREST DR. c/o TODD SPELLMAN HILLSDALE,N.L 07642 P.O.BOX 1327 r _ SOUTHOLD,N.Y.11971 HARBOR LIGHTS PROPERTY OWNERS ® HARBOR UGHTS PROPERTY OWN i MAY 2 6 C/O TODD SPELLMAN C/O/TODD SPELLMAN -2017 13 P.O.BOX 27 P.O.BOX 1327 Lf 'SOUTHOM,N.Y. 11971 SOUTHOLD,N.Y.U971 PATRICIA$ PIAN B K $oad of Trus aes PATRICK AND DIANE KELLY �"CA'TH>'�DRAL"AVE. f 30 CATHEDRAL AVE. 11!L!t'b4ITo OIL) GARDEN CITY,N-Y. 1;LM - PfzOPOSEO= 0RE201NG AREAS ®!R C&XI3TING CANAL.TO A PEPTI-! OF 4-' or=Low ME^N I-OW WATER. ANO vskow-rimG -rma 5F'0I•LS (.?.pPRax. P-,#poo cl,>:Ya&-ro-rAO, oi4 -rKF- TWO ®E`ACNES ADJAGIEN'r To TliE INLw-r APP'Rox• !,404 cu Y®5. To sa PL.ACEO ON THE EAST- OF-^C," #,Na APPRCPY- I,000 Gtr.YOS: ON THE Vbr_sT 6EAGH iro NE16K"r OP-R'ASoVE GRADE. w�-rel •C�9�I.R/RFPLFK�t�IvT'��.tLtINI~ AS I'R�DiCAT�p ACCRSSi -HAY WATER, U-61146 &►R06 WPrI4 L.AM 6HEL-L 6UGKF--TAMC) APPROVED AS P' TF;K:btS I.t�'PLIGAN'T: AND CONN iRDNS of 14AR60it LIGHTS PER NIIT NO. I-q M•CWD) CANAL ASSOCIATION v�DATE.��)20-' I — \"'�O �//'��J+yA HARBOR LIGHTS PROPERTY OWNERS P1�EPAREU AMr-tbpF-_4J Vr4�- Y�, a�t C/O TODD SPELLMAN GO.STELLC MA•F•=;IME,G®N'MACTINCO CORP., P.O.BOX 1327 PO.15®X 21 Z4. .GRED!�'®ItT, NY w54-4-54.4- SOUTHOLD,N.Y. 12971 ,(cost) 4-TT-1 Igo - - 5HEET I of J �yP� _ Z - P>ROP05�D DR.�OGiNG''Y'Q A®CPTH Q� EL.—4.0 /►T /Pee (At Z g4do c Y T-rAL) GA%t/A L of _i y u gA 5-r D E A G H PLAN f � ��•/ - D - SO tDo� t ® V� VE /�PpL r SGA NT t ( j 2 6 2017 i-�ARbOR L#GhlT3 CANAL A�SN- Southold Tovvn Hf►RBOR UGFriB PBdpeWff RS PI2EFAitE V b"f= I B a f Tru a C(O TODD SPEUMAN COSTMLLO MARINE OONTV�^=l P.O.BOX 1327 , P.a bOx Sit- �g�� rr®pr�Tt hrY'r r 944 jOUT1rOLD,N.Y. 11971 - $HsET 2 ®r- 4- NOTE: NOTE: THE SPRING HIGH TIDE IS APPROXIMATELY 6 INCHES HIGHER THAN THE MEAN HIGH WATER MARK.THEREFORE MATERIAL IS NOT EXPECTED TO BE BELOW THE SPRING HIGH TIDE LINE ON THE EAST BEACH. To \ , <� - 4 WEST 5 EACH _Z � - PLA AN �c YtU J r - .: '• i Z 1 o�tm , Zj J - AA .3 Ift _ 44 «� • Af- BUU0HM REP REPtA A D1 H -MAY S-, , APMICANTSo u old L A55NTr \ , 1QR E#�1f 15 P3i��BiY HERS PFE�PAREO �Y=.oa C/o/Tow SPEUMA 1 P.00OS'Tri4.A MA5t1NE {60M ACM610 COSI- so Boli p.,m.- P.O. box 2i-s- C.Aagwmwr, Pill 114 Y.�a�n C"I) •4-'t7-a 1993 f gHEET 3 OF 4- I NOTE: ONLY AN IMGNIRCAUT AMOUNT OF MATEWAL IS E CTED BELOW THE S EN6 HIGH TIDE LINE ON THE WEST BEACH. wh f as •C , - y ` iv N � •�� .,� l��- A( ,* �' Niel L �- I, i E ! v AL 12 toF= N .� i � r so A W Q Pt2EP6IN5 -CRO25 5EG_T_1 ON- A�-A � m > �I M 0 et p S to• Wg3T 6 AG H Z .....,..., ..._.,.._. ._..�.. .,.�..ALW-- _.._.... ._:.._. ..._.... eL, o.o �x 1110 1, 111 TOM I t Im fba 9mfto19'�piDM19l L21 jr! � 1 axIBIT.GRAPS • � I -• � � �A�`f �Ei�G�-!GRG�;a 5EG`T�aN �tr�-,6 - i ,.�. > le `IA AVdk-, "STATION L� i VAR166 P Gr9 GU:!1'Gts. J clu ALW &O' W MXIbT. R9RAPE f I-D M yr , 7• ''- WE5T 5EACH GRO55 5EGTION G-C in, ' C, ?• N , . � _� ��'�r��' �....las 4 �► �� .rte rr �+ .mow �.....�� .� . i4 11T l C 1 / L G +' �s. L v ...� yqr`��a'�'','�yY�►' � .....��I'�Vim+~ ""'W r.A ..�' ....,y., y �v`J�/_ ��V l S Ir 7V t3E�G . Q, So tSIDPe' :9 r YA1pIUNE f� ti.:.6• B S 8 ,�u g 4 S I A o 'fi tilr 1 OgYTON R A i Y. t 3'l I u, •�, .�a F'' y A s Idl td��•� r i� O 9 m d8 e B� •( b•g� Y ,�8 8A / fi }A SIT m EGq°°1 4 s tAxx eel „' i• Y gy,• I"A" Z � m r 9 IlIx C a j .F LLII M AY 2 6 2017 } Southold Tovrn g Board of Trustees Z Dw. Susan McGuire Ewing 40 Forest Drive Hillsdale, NJ 07642 (201) 248-5542 ewing.familv@hotmail.com July 20, 2017 Dear Members of the Southold Board of Trustees, I grant permission to access my property to gather information for the pending Harbor Lights Association wetlands permit. Property Address: 1795 North Parish Drive Please note that property address differs from mailing address. Sincerely, Susan McGuire Ewing � E %CRE VE JUL 2 0 2017 Southold Town r f Tr e OFFICE LOCATION: �®f S®ur�®� MAILING ADDRESS: Town Hall Annex ® P.O.Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971 Telephone: 631765-1938 co ,� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: July 14, 2017 Re: Local Waterfront Revitalization Program Coastal Consistency Review for HARBOR LIGHTS PROPERTY OWNERS ASSOCIATION, c/o KENNETH PETERSON SCTM# 1000-71-2-1.2 & 1.3 HARBOR LIGHTS PROPERTY OWNERS ASSOCIATION, c/o KENNETH PETERSON requests a Wetland Permit to replace 388 linear feet of existing bulkhead in-place with new using vinyl sheathing; and-to raise the height of the new bulkhead an additional 12" above existing top grade. Located: 715 Harbor Lights Drive, Southold & 595 Schooner Drive, Southold. SCTM# 1000-71-2-1.2 & 1.3 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is EXEMPT from LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS items `B"which states: B. Replacement, rehabilitation or reconstruction of a structure or facility, in kind, on the same site (inplace), including upgrading buildings to meet building or fire codes, except for structures in areas designated by the Coastal Erosion Hazard Area (CEHA) law where structures may not be replaced, rehabilitated or reconstructed without a permit and shoreline erosion control structures (including, but not limited to, groins,jetties, bulkheads, filled piers) located within Great Peconic Bay, Cutchogue Harbor, Little Peconic Bay, Hog Neck Bay, Noyack Bay, Southold Bay, Shelter Island Sound, Pipes Cove, Orient Harbor, Gardiners Bay, Long Island Sound, Fishers Island Sound and Block Island Sound(excluding all creeks); Note: Turbidity controls are required. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. i ��g+ fFBI Peter Young,Chairman y -� Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 ��/�� ` Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., July 12, 2017 the following recommendation was made: Moved by John Stein, seconded by Greg Williams, it-was RESOLVED to SUPPORT the application of HARBOR LIGHTS ASSOCIATON C/O KENNETH PETERSON to replace existing timber bulkheading prior to dredging canal entrance. Located: 715 Harbor Lights Dr., Southold. SCTM#71-2-1.2&1.3 Inspected by: Peter Young, John Stein, Peter Meeker, Keith McCamy, James Abbott Vote of Council: Ayes: All Motion Carried SOF so Michael J.Domino,President �0� ��® Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J.Sanders cn thc Southold,New York 11971 Glenn Goldsmith � ® �Q Telephone(631) 765-1892 A.Nicholas Krupski ®li�COUI Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only /Coastal Erosion Permit Application Wetland Permit Application Administrative Permit ' fAmendment/Transfer/Extension Fee: $ n --- ceived Application: z50.d " MAY 2 6 2017 Completed Application: 5-30,1-7 Incomplete:, i__.. _ SEQRA Classification: Type I_ Type II Unlisted ` Sr�i;thoid xer*nom Lead Agency Determination: - - -�- —y�Coordination:(date sent): -7,7.17 V LWRP Consistency Assessment Form Sent: CAC Referral Sent: Date of Inspection: 711.17 Receipt of CAC Report: Technical Review: Public Hearing Held: 7.1q.1 Resolution: Legal Name of Property Owner(s): H U r b or ASS u i(J o� c/o ke h oei-h �e`�e rs o n (-rreas Ltre v) Mailing Address: W5 H ra r c1 Y L_i a l X+5 D-i y)-Q S001hotJ 1 i L 1, 119-7 1 i Phone Number: 11 - (,S- Y p 4 8 2- Suffolk Suffolk County Tax Map Number: 1000 --_► LN 1 • Z 9,` 1 .3 Property Location: '7 15� D�r i G k �� y'� �l,`'I 1 l�� I (If necessary,provide LILCO Pole#,-distance to cross streets, and location) AGENT (If applicable): Mailing Address: Phone Number: �,oard of Trustees Applicat r ,L GENERAL DATA Land Area(in square feet): �. o'} 1. Z t�� `� y ac.0 �- 3 rs �.3 GCr� Area Zoning: bo k k Lai r a R rf d Previous use of property: ECW �J_ E) 2eQLCk Intended use of property: ''6) M 1�, Covenants and Restrictions on property? Yes No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes __Y No If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes X No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes ( No Does the structure(s) on property have a valid Certificate of Occupancy? Yes No Prior permits/approvals for site improvements: Agency Date E � (�� " -4 - oo l?p !V1 rz� �iy 13 A RI t -oufru s+ec.s 7635 �1A,5a 1 l No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes,provide explanation: Project Description (use attachments if necessary): �(��Ce, F'_Xi Sil rNq � rn�►- 1 2 i c` i t7 +y A r e- � ; C n , (\ a h c,,- rC-fie r"c nc.L a kla c kn A ► 0 1410,!q r C lop rte'► �r 0►eco 1,✓fi I l �e��t ce_ 3 ��' '. O-( =loard of Trustees Applicat''T n WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: S @ G U r e CA Y1 a. e_h 4 reit rxc.O_ �D e f0� 0 65) 61-ekk d 6&1 k k and c2 no V1 C�e- CJt V I G�P,t �i oYl Area of wetlands on lot: U (A(".YQS square feet Percent coverage of lot: 70 % Closest distance between nearest existing structure and upland edge of wetlands: 15-0 feet Closest distance between nearest proposed structure and upland edge of wetlands: 6-0 feet Does the project involve excavation or filling? No Yes If yes,how much material will be excavated? Lf'0-0 cubic yards How much material will be filled? y Jtqcubic yards Depth of which material will be removed or deposited: 4. U 64LVJ feet Proposed slope throughout the area of operations: 10 Lwers Manner in which material will be removed or deposited: Coy e,kre_A1 64 ID E C Iy W n Tr vt 54e s I o 14 aA,r `rte rA G1-U �,r M i �S Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations(use attachments if appropriate): i M 1 Gno��s W i 6 viS-e-A -"U fEID� fx " S� )Ltd-ch AA 14 vel . s • 617.20 Appendix B Short Environmental Assessment Form I Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information C,r6c4s C&(\a Ow hors Name of Action or Project: lr 2 LA_ e cl r -J AL C- a- I 2 n Ara h ce- Project Loca 'on(describe,and attach a location map): 1 ' r\__)®r L his 1r+ S 101`11 Brief Description of Proposed Action-' re-Out, e)Ls-" -brn6r 6v,,tL kUJs a ra5t C O n a. I eVn+-y`U- Name of Applicant or Sponsor: Telephone:�3�- 7�6_—q-�� D n h A- (1 1"n�^-e 5-0 E-Mail: O Address: I v lo of i 1� City/PO: State: Zip Code: U_�n ® 1 /Y. 1011 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that ❑ may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: ❑ 3.a.Total acreage of the site of the proposed action? 0 acres b.Total acreage to be physically disturbed? o I acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? ( acres 4. Check all land uses that occur on,adjoining and near the proposed action. F]Urban ❑Rural (non-agriculture) ❑Industrial ❑Commercial ❑Residentiall(suburban) (_ ❑Forest ❑Agriculture ❑Aquatic [Other(specify):�55ociOV lbn ?�r�- ❑Parkland q 'ge ck Page I of 4 t 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ ❑ b.Consistent with the adopted comprehensive plan? ❑ ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ 21 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: ® ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES El b.Are public transportation service(s)available at or near the site of the proposed action? ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: M El 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: © ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: [K ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ® ❑ b.Is the proposed action located in an archeological sensitive area? FV__] ❑ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? rV1 ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: Llinh1 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? ® [:]16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? ❑NO YES � ❑ b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: F]NO AYES Page 2 of 4 1 n' 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: ® ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/spon name: , ?e4erson Date: Q (.l Z Z-, ?— d/7 Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? ❑ 3. Will the proposed action impair the character or quality of the existing community? El ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the E]establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: ❑ a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g,wetlands, ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage 1:1problems? 11. Will the proposed action create a hazard to environmental resources or human health? ❑ Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmentali acts Town of Southold-Board of Trustees (. 0 Name of Leadency Date I L Of 'T, rm 1w President Print or Type Name of Responsible fficer in Lead Agency Title of Responsible Officer 1. Signature of Response e Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 "-",Board of Trustees Applica �n AFFIDAVIT 6111y) BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. 440'41., 7oz�1111-w-f Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS � DAY OF ary Public MARINA KOKKINOS Notary Public a State of New York No.01K06191941 Qualified In Suffolk County My COmmlmlon Expires Aug.25,2020 3oard of Trustees Applica" -)n AUTHORIZATION (Where the applicant is not the owner) I/We, �ay-spy Lj a, -SS UC i a'tel t3 t) , owners of the property identified as SCTM# 1000- in the town of �So U+h 0�A New York,hereby authorizes V I e h Yl?" A , Pe-4-arson to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS DAY OF Vat, , 20 I ary Public MARINA KOKKINOS Notary Public-State of New York No.01K06191941 'QuWmy Commission Suffolkp� 25, Aug.ug.25.2020 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the Hart of town officers and employees.The nuroose of this form is to nrovide information which can alert the town of ossible conflicts of interest and allow it to take whatever action is necessary to avoid same. ; YOUR NAME: t�/f'14 r11� —LIL, ,L� 'IfV (Last name,first name,ipiddle initial,unless you are applying m the name of someone else or other entity,such as a company.If so,indicate the-other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other,name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicgnt (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of, 20i Signature 9!1!! y Print Named W C� Form TS l APPLICANT/AGENT/REPRESENTATWE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessga to avoid same. 1 f_,, YOUR NAME: K 1✓n E`1" A , Pe-7 C s o n (Last name,first name,ipiddle initial,unless you are applying to the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest.`Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted t4 Aq d f 20V S ignsat ure Form TS 1 r Print Name �dJN r_ t; H PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: 2 3 LI- }�6 b �5h�s ( 5 � �� o, B-ox 1311s©o��I�,�v.� , 11 7/ � 3 0 /�� , 11- Nlr ck K lI 30 �r�.�h�clr� (��►� . Coca role" C r/ s Sv�s ,tn Hca re 14-L7Fo -e54 ,fir, 1-h l IS G Ck Tell► �/ N/ ey, 1 \0111 STATE OF NEW YORK COUNTY OF SUFFOLK ,residing at ,being duly sworn, deposes and says that on the day of , 20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at ' that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day of ,20 Notary Public NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: �Q,rbm)i(i +5 na-I A-saz i d-+i on SCTM# -71- 2 - 1. 1 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 3. That the project which is subject to Environmental Review under Chapters 96,111 and/or 275 of the Town Code is open to public comment on: DATE: You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. PROPERTY OWNERS NAME: MAILING ADDRESS: PHONE #: AGENT: MAILING ADDRESS: PHONE #: Enc: Copy of sketch or plan showing proposal for your convenience. y` PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: I 11Y) 10 STATE OF NEW OR K COUNTY OF SUFFOLK residing at v p�V, 1 )NT' being duly sworn,deposes and says that diahie day of 20F , deponent mailed a true copy of the Notice set forth in the Boar f T ees Application, directed to each of the above named persons-ht the addresses set opposite there respective names; that the addresses set opposite the names of said persons'are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at ,�,+{ \- A , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. 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Domino, President � ��QS SCO Town Hall Annex John M. Bredemeyer III,Vice-President Tr'„�O Gym 54375 Route 25 Charles J. Sanders o P.O. Box 1179 Glenn Goldsmith ' ' a �Y Southold,NY 11971 �� •- A.Nicholas Krupski �?,h h gyp! Telephone(631)765-1892 Fax(631)765-6641 -zzur,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of HARBOR LIGHTS PROPERTY OWNERS ASSOCIATION, c/o KENNETH PETERSON COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE I, �'N residing at/dba !� A)A being duly sworn, de ose and say: That on the 11"`�8ay of cZQ3 \) , 201 , personally posted the property kno as a I, �, � by placing the and of Tr stees o ficial poster where it can easily be seen, and thW have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday,July 19, 2017. Dated: . �9(�D �L t (signature) Sworn to before me this g day of j7ul y,20/7 Notary Public SABRINA M BORN Notary Public,State of New York No.01 BO6317038 Qualified in Suffolk County Commission Expires Dec.22, 2018 H AR N ,NUTILt Ulm t I I G NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: HARBOR LIGHTS PROPERTY OWNERS ASSOCIATION, c/o KENNETH PETERSON SUBJECT OF PUBLIC HEARING : For Wetland Permit to replace 388 linear feet of existing bulkhead in-place with new using vinyl sheathing; and to raise the height of the new bulkhead an additional 12" above existing top grade. Located: 715 Harbor Lights Drive, Southold & 595 Schooner Drive, Southold. SCTM# 1000- 71 -2-1 .2 & 1 .3 TIME & DATE OF PUBLIC HEARING : Wednesday, July 19, 2017 — at or about 5 :30P. M . If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of B a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3: If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 3 PROJECT NAME or r) The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity, agency regulation, land transaction) ❑ (b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit, approval, license,certification: Nature and extent of action: orovide, 1 xi •hmb� WLJ heaAs Location of action: :7 15 Y L;o kis Dc, Site acreage: L.©J 1,2 61 162 C4 C -ts L L-J- 3 1,S O J 3 a re s Present land use: aSS be to +'01) `I' i�>e—a c'k Present zoning classification: L�O 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: he Y-)n e—� A , Q'� ,irs p n (b) Mailing address:( rj (-�G_r jr �1 h`f3 IL (c) Telephone number: Area Code (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ® No❑ If yes, which state or federal agency?N�S 16-G PY U,S. 1grm(,� Corp W l-no;h eer s C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWR]P Section III—Policies; Page 2 for evaluation criteria. 'Yes ❑ No ❑ Not Applicable C X i�� j�_�"l-M bqi( yu L ��! ��5_� i r7 Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No V' Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ® Yes ❑ No Not Applicable QC-0 ftCQ 7Dr .�,�,5�1�u►I� 1ne(i_�.l s Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No NNot Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section IH—Policies; Pages 22 through 32 for evaluation criteria. r es No Not ApY.licable LA�l A'Q-W Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No FV-1 Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ' ❑ WE] No M Not Applicable Abe, work +oba 'rRxyl W i l6e- on n vim. Attach additional sheets if necessary WORKING COAST POLICIL0` Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ NoNot Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No F� Not Applicable ` Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III —Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ NoL4J Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable PREPARED BY TITLE S LA-c ev DATE ®1